| NPI | 1386456978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH YARPAH Owner And Provider 763-957-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |